doc gene Profile picture
Aug 16, 2020 10 tweets 2 min read Read on X
Historically, PhilHealth has always been poorly regulated and monitored. Its leaders allowed it to be used for furthering partisan political interests.

No wonder corruption became entrenched. If this is to be seriously rooted out, we have to look further back.

A thread.
In 2004, Arroyo used PhilHealth in the presidential elections.

PhilHealth IDs were produced and mass distributed to the poor. The ID had TWO pictures of Arroyo (front and back).

Membership spiked that year but only for a year.

Pagkatapos ng eleksyon, wala na ulit. 2/
In the same election year, Duque, then PhilHealth president, transferred 530 million pesos of OWWA funds to PhilHealth.

This amount represented the contribution of OFWs for their health and welfare. Hindi sila kinonsulta.

Gumanda ba ang mga benepisyo nila simula noon? Hindi. 3/
Under Gloria Arroyo, PhilHealth was overestimating its coverage of Filipinos (aka membership) by 40-60%!

There were regions reporting 100% PhilHealth coverage, with more members than the actual population!!!

The NSO finally revealed that actual membership was less than 50%. 4/
In 2004-2005, PhilHealth pushed for the Bukidnon model, which created PhilHealth funded hospitals.

This was a duplication of the work of LGU hospitals, which remained underfunded.

In that period, Region 10 was spending almost the same as NCR. This was just unsustainable. 5/
Under BS Aquino, PhilHealth's budget ballooned from P2 billion to P57 billion. But overall, patients were still paying 60% of hospital expenses from their own pockets!

Saan napupunta yung mga bilyon?

Paying out private healthcare providers. Mahihirap ba ang pumupunta dyan? 6/
Since 2010, 9 out of the 10 hospitals with the BIGGEST reimbursements from PhilHealth have been PRIVATE hospitals.

How many indigent patients go to these hospitals?

Yet govt hospitals, those who actually cater to the poor, remained largely and severely underfunded. 7/
In 2012, 114 million pesos was stolen by a syndicate involving PhilHealth employees. The amount represented premium payments for 22k employees of a BPO company.

Nakapangalan na sa PhilHealth yung tseke, nanakaw pa.

Investigations were conducted. Umingay. May nangyari ba? 8/
So if anyone is serious about rooting out corruption in PhilHealth:

- Study its history
- Investigate Duque, as its long serving and controversial president
- Investigate the failure of DOH oversight
- Investigate the regions and the dynamics there

That's just the start. 9/
Investigate PhilHealth for accountability.

But PhilHealth is NOT the way to go for health devt in PH.

Healthcare is not a commodity to be sold and bought. That is how PhilHealth operates.

PhilHealth is NOT the way to "health for all".

Primary Health Care is the way. 10/10

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More from @genenisperos

Feb 2, 2022
Alam mo @RobbieMeriales nuknukan ka ng...😬

Thanks for the tag but I'm sorry because I FIRMLY DISAGREE with you on this.

Framing the debate as a noisy, even vitriolic, "war" is flawed and misplaced.

Worse, it casts unnecessary aspersion on a webinar that has yet to happen.
1/
Let us be clear.

The current debate is about having an HONEST AND CRITICAL APPRAISAL of what went wrong with the PH pandemic response.

Sadly, the discourse is hampered not only by the refusal to admit that there IS SOMETHING WRONG, but also by the vociferous defense of it!
2/
The patent refusal to admit such shortcomings is worsened by the attitude of IATF advisers, particularly doctors, who not only ignored valid concerns and criticisms but actually BELITTLED those who raised them!

The condescension has been utterly disgusting!

Is this war? No.
3/
Read 7 tweets
Jul 7, 2021
I hated the PLE. I still do.

I cannot accept that a decade of studying all boils down to a single exam. Who would NOT BE STRESSED by that?!

At best, the PLE only measures a fraction of how much we learned or know.

But the process is as outdated as the questions are random.
1/
I mean, 100 questions covering an entire subject you took five years prior IS NOT an adequate measure of how much we know.

Worse, the questions do not always reflect the fundamentals required of each subject.

TBH, a great deal of testmanship is needed.

So how is this FAIR?
2/
The PLE does not even take into account changes in med educ!

Some years ago, when some med schools decided to change to problem- or organ-system based educ, they erroneously still used the PLE as a measure of success.

Nung dumami yung bumagsak, binalik sa dati yung system.
3/
Read 7 tweets
May 5, 2021
Sana bago ka sumagot nang ganito @jvejercito inaral mo muna yung kaso at yung sistema ng Philhealth.

You are obviously speaking above your head so let me clarify how you got it all wrong.
1/
If you just bothered to find out before dishing out your response, you would have known that cases such as this actually happens quite frequently.

While PhilHealth has different case rates for different severities of COVID-19, these depend on WHERE the patient is confined.
2/
Since the patient was confined in a primary hospital (level 1), the hospital cannot reimburse for specialized care, which are mainly reserved for tertiary hospitals (level 3).

Kaya hindi ma-cover ng PhilHealth yung malaking bahagi ng bill nung pasyente.
3/
Read 7 tweets
Apr 10, 2021
Mahalaga na maalala natin ang mga basic details ng Philippine Pandemic Response para mabalikan at masuri natin BAKIT at PAANO tayo umabot sa ganitong KAWAWANG kalagayan.

Eto ang isng short QUIZ to refresh our memory.

Ilan ang makukuha ninyo na TAMA?
1. Sino ang pangunahing namumuno sa COVID-19 Pandemic Response sa bansa?

a) IATF
b) NTF-ELCAC
c) OCTA
d) Hindi pa rin alam hanggang ngayon pero malamang hindi si Duque
2. Kelan itinakdang matatapos ang quarantine sa Pilipinas?

a) Pag alam na ng IATF yung dapat gawin
b) Pag naging humble na yung mga experts
c) Pag doktor na ulit si Duque
d) Pag naliligo na araw-araw lahat ng mga work from home
Read 7 tweets
Apr 5, 2021
This interview is very telling of why govt is ALWAYS BEHIND the pandemic and why we are LOSING this fight.

Not because the virus is spreading faster, but because govt INSISTS on its flawed and myopic approach to the disease.

A dissection and a thread.
1/
Transmission WAS NEVER controlled. Resurgence was bound to happen sooner or later.

The newer variants may have aggravated the current resurgence but the real culprit is govt UNPREPAREDNESS.

A year later, govt still relies on healthcare utilization as its main metric. Mali.
2/
PDITR naman ngayon.

Last year, when HWs called for a timeout, you rolled out your "CODE Protocol" that basically targeted these interventions. Anyare?

Wala. Puro salita, walang gawa.

Govt had a year to strengthen these, but chose to argue even simple definitions. Anlala.
3/
Read 7 tweets
Jan 2, 2021
Health officials should stop hiding behind the law to impose its unjustifiable increased contribution rates.

PhilHealth is allegedly forced to require higher payments from members as this is a provision of the Universal Health Care (UHC) Law.

Totoo ba ito? NO.
1/
True, increased PhilHealth rates are part of the UHC Law. In fact, it is one of the controversial provisions that oppositors wanted to remove or change.

But even if the increased rates are part of the law, is govt really forced to implement it? NO.

Are there precedents? YES.
2/
The Magna Carta of Public Health Workers (1992) states the benefits that govt healthcare workers are entitled to.

But to date, these benefits are not all given to HCWs in govt hospitals. Govt refuses to provide funds for these benefits.

So HCWs still have to fight for these.
3/
Read 10 tweets

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